Ramipril + Telmisartan is a combination medicine used to manage high blood pressure in adults.
This combination is commonly used for:
• Hypertension: Lowers high blood pressure when a single medicine alone does not provide adequate control.
• Cardiovascular risk reduction: Helps lower the risk of heart attack and stroke in patients aged 55 or above who are at high risk of these events.
Dizziness or lightheadedness
Headache
Dry cough
Diarrhoea
Fatigue or tiredness
Ramipril + Telmisartan works through two complementary actions that relax and widen blood vessels, lowering blood pressure.
Ramipril is an ACE inhibitor. It blocks the conversion of angiotensin I to angiotensin II, allowing blood vessels to relax and widen.
Telmisartan is an angiotensin II receptor blocker (ARB). It blocks the hormone angiotensin II from acting on blood vessels, which also helps them relax and widen.
Together, the two medicines lower blood pressure by acting on different parts of the renin-angiotensin-aldosterone system (RAAS).

Doctor of Medicine

BAMS, FMC, MD Resident
Ramipril + Telmisartan is available for oral administration in the form of tablets.
Ramipril + Telmisartan is intended for adult patients over the age of 18 years.
Ramipril + Telmisartan should not be used by individuals with known hypersensitivity to either component of this combination.
It is also contraindicated in patients with severe liver impairment, severe kidney impairment, and in patients who have experienced angioedema (swelling underneath the skin) related to previous ACE inhibitor or ARB therapy.
This combination may interact with NSAIDs (such as ibuprofen, naproxen) and potassium-sparing diuretics (like spironolactone and eplerenone).
If you miss a dose of Ramipril + Telmisartan, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for the missed one.
Most side effects are temporary and generally harmless and resolve after discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.
To manage dizziness or lightheadedness, sit or lie down until the symptoms pass. Try to get up slowly if you have been sitting or lying down.
If you experience dry mouth, try sipping water or sucking on ice cubes.
Ramipril + Telmisartan may cause side effects such as dizziness or tiredness which may affect your ability to drive or use machinery. Do not drive or operate machinery until you know how this medication affects you.
Ramipril + Telmisartan is not recommended for use during pregnancy or breastfeeding. If you are pregnant, think you may be pregnant or are breastfeeding, consult your doctor before using this medication.
Care should be taken when using Ramipril + Telmisartan in patients with kidney disease, liver disease, or heart problems.
A healthy diet rich in fruits, vegetables, whole grains, lean protein, and low-fat dairy can help manage high blood pressure. Limiting salt intake is also important.
Regular physical activity can help lower your blood pressure and keep your heart healthy.
Frequently asked questions
No, Ramipril + Telmisartan is not a steroid. It is a combination of two active ingredients: Ramipril, an angiotensin-converting enzyme (ACE) inhibitor, and Telmisartan, an angiotensin II receptor blocker (ARB).
Ramipril and Telmisartan are not commonly known to affect sleep. If you experience sleep disturbances, consult your doctor.
Ramipril and Telmisartan are not commonly known to affect fertility. If you have concerns, it's best to consult your doctor.
The safety and effectiveness of daily use of Ramipril + Telmisartan depend on your health condition and response to therapy. You should take this medication as prescribed by your doctor and never self-medicate.
Ramipril + Telmisartan starts working within a few hours after intake. However, the full blood-pressure-lowering effect might take a few weeks to notice.
Ramipril + Telmisartan can be taken at any time of the day, with or without food. Nevertheless, it is often recommended to take it at the same time every day to help remember the dose.
Ramipril and Telmisartan are not addictive. They are medications used to manage blood pressure.


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